Title Page
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RA Title
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Type of RA
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Location of the Workplace
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Site
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Prepared on
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Assessor
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Existing RA reference
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External RA reference
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Reference guidance
Scope of the Workplace Risk Assessment
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What's included in this workplace risk assessment?
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What's not included in this workplace risk assessment?
Workplace Risk Assessment
- Hazard
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Hazard Type
- Biohazard
- Chemicals/COSHH
- Fire
- Dust
- Fumes
- Animals wild/livestock/domestic
- Weather
- Drowning
- Overhead or underground services
- Cuts
- Crush
- Entaglement
- Noise
- Vibration
- Fall from height
- Falling objects
- Slip, trip and fall
- Lone working
- Manual handling
- Explosives/ammunition
- Other- provide detail
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Risk related to hazard
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Who might be harmed
- Operator
- Public
- Colleagues
- Banks person
- Contractors
- Vulnerable person
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PPE
- None
- Ear defenders
- Hard hat
- Visor
- Coverall
- Mask
- Gloves
- High visibility clothing
- Lone working device
- Safety boots
- Safety glasses/googles
- Waterproofs
- Other-provide detail
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Training
- No training required
- Certified
- Toolbox talk
- On the job
- Online
- Team training
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Can the hazard causing risk be eliminated?
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Are you already doing something to control this risk (existing risk control measure)?
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Develop a risk control measure targeting this risk.
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Briefly describe the existing control measure:
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Further action needed to control the risk?
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Select the "Action" icon to create an action, assign it to someone, and set a due date.
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Seek further advice from safety department or wider industry.
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Eliminate the hazard causing the risk.
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Residual Risk likelihood
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Residual Risk consequence
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Use this risk matrix to identify the risk level:
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Residual Risk level
Completion/Review
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How often will the RA be reviewed?
- Every 2 weeks
- Every month
- Every 3 months
- Every 6 months
- Every year
- Every 15 months
- Every 24 months
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Date for next review
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Has the RA content been updated since last signing?
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Send out actions for all RA users to sign updated version
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RA Assessor name
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Role/position
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Training type
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Additional training type/details
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RA Accepted
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Signature
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Name
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Role
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RA Accepted
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RA Accepted
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